NPI 1114962529

Broecker Eye & Optical

Organisation Optometrist Saint Paul, MN

Practice location

Address: 2356 University Ave W Suite 260, Saint Paul, MN 55114-1853
Phone: (651) 645-8124
Fax: (651) 645-8125

Authorised official

Name: Stacey T. Broecker
Title: Optometrist
Phone: (651) 645-8124

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 2108 (MN)

Other Optometrist providers in Minnesota →

Registry record

NPI: 1114962529
Entity type: Organization
NPI issued: 19 Jun 2006
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.